Conditions of Membership:

  1. A company applying for membership in this category must have been in business for at least one year prior to application, and be able to show proof of business operations.
  2. Members agree to abide by the RIPA Codes of Operating Practice which support environmental, health, and safety goals as well as sustainability.
  3. Membership applications must be complete and accompanied by a signed accountant’s certification form (see next page).  This online application and certification will be delivered to:

    Reusable Industrial Packaging Association
    51 Monroe Street, Suite 812, Rockville, Maryland 20850
    Fax – 301.577.6476
    Email – [email protected]

  4. Payment is due in full at the time of application; companies joining after June 30 of any year will be credited a prorated amount towards the following year’s dues.

Facility Address

Primary Contact

Other Company Contacts

Business Description

Please select the item that best describes the majority (>50%) of your annual business activity.

Check all products offered

Environmental History of Site or Sites (past 5 years)

Have there been any reportable events that required a third-party response action? If yes, check the appropriate boxes. You may add comments.

Company Operations (Check those that apply)

Regulatory Information


Dues Category

I hereby certify that this document accurately represents the gross receipts report on Line 1a of the U.S. Corporate income Tax Return (IRS Form 1120) or other appropriate income tax return for the company’s most recent fiscal year prior to application for:

Please Check the appropriate sales category. Pay Now

$0-4 million Dues $5,200*$4.1-6 million Dues $9,500$6.1-8 million Dues $12,200$8.1-10 million Dues $15,000$10.1-15 million Dues $20,000$15.1-20 million Dues $27,000$21-30 million Dues $34,000$31-75 million Dues $50,000$76-150 million Dues $70,000$151-250 million Dues $90,000$250 + million Dues $130,000


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